Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $60.26 / $89.13	Facility		$13.80	$60.26	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $32.36	Professional		$3.98	$5.01	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.49 / $13.80	Facility		$10.72	$13.49	$13.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $19.95	Professional		$3.72	$3.72	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $13.80 / $14.13	Facility		$3.39	$13.80	$14.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.85 / $25.12	Facility		$13.49	$15.85	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $15.85	Professional		$5.75	$7.24	$15.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $10.96 / $39.81	Facility		$4.47	$10.96	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $25.12 / $60.26	Facility		$4.47	$25.12	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.17 / $13.80	Professional		$2.95	$4.17	$13.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $10.23 / $64.57	Professional		$2.51	$10.23	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.88 / $21.38	Professional		$6.46	$12.88	$21.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $60.26	Facility		$10.00	$10.00	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.24 / $5.01	Professional		$2.63	$3.24	$5.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $10.72	Professional		$6.03	$6.03	$10.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $27.54	Professional		$6.03	$6.03	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $4.47 / $6.03	Facility		$2.51	$4.47	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.98 / $12.30	Professional		$2.09	$3.98	$12.30